Whiting, Michael Anthony
Whiting, Michael Anthony is an individual health care provider with primary practice located at 850 W Ironwood Dr Ste 103, Coeur D Alene ID 83814-4903. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Whiting, Michael Anthony can be contacted via phone (208) 664-1119.Contact Information
Primary practice address
850 W Ironwood Dr Ste 103
Coeur D Alene ID 83814-4903
Phone: (208) 664-1119
Fax: (208) 765-4340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT-1912 | Idaho |
Profile Details
| NPI number | 1902802549 |
|---|---|
| LBN Legal business name | Whiting, Michael Anthony |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 8th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902802549 | NPPES |
| Idaho | MEDICAID | 807065400 |
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